Therapeutics Intro To BNF

Question 1

Which drugs are included in the BNF

Answer 1

It contains all licensed drugs used in the UK clinical practise

Question 2

When can we use unlicensed drugs

Answer 2

If the disease in the uk is rease and the lisenced drug has a shortage

Question 3

What is a off lable use

Answer 3

Prescribing medicine for use outside the terms of its product license

Question 4

Example of how you use off label use

Answer 4

Different dose or prescribe a drug for a different indication

Question 5

What things do we need to know about drugs

Answer 5

Prescribed
Non prescribes
Dose, frequency, and duration
Timing of the last dose 
Method of adminstration 
Patients knowledge of medication

Question 6

Therefore what questions can we ask a patient in their drug history

Answer 6

What is the dose
How do you take it
Why was it given
How often do you take them
Any other medication: inhalers, creams, drops and injections
Do you take any medicies not prescribed by you doctor
Do you have any allergies

Question 7

How can you examine the the way the patients takes medieine give examples of inspection

Answer 7

You can examine:

• puncture sites on the skin
• injection site for insulin
• inhaler technique
• pathches on the skin

Question 8

How can we assess adherence/compliance by direct methods

Answer 8

• directly observed therapy
• measure drug levels in the blood or urine
• ingestible pill sensors

Question 9

How can you measure adherence/compliance by indirect methods

Answer 9

Self report
Pill counts
Prescription rate refills- by speaking to the pharmacy 
Measurement of physiological markers 
Patient diaries
Small pill bottles